Edelman & Kudzma (2021) p. 316 - 341 Flashcards
Preschooler
Preschooler Child: ages 3 to ___.
6
Mild In-Toeing
Metatarsus Adductus
Protuberant abdomen of the toddler (disappears/remains) during the preschool years.
disappears
Average preschoolers gain approximately ___ kg (___ pounds) of body weight each year.
2
4
Average preschoolers grow ___ cm (___ inches) in height each year.
7
2
Head circumference increases by less than ___ cm during the entire preschool period.
2
Growth rates remain (unstable/steady) from age 3 to 6 years.
steady
During early childhood, skin matures in its ability to protect the child from outer invasion and loss of ___.
fluids
Part of the body’s heat-regulation mechanism.
Eccrine Sweat Gland Function
Eccrine sweat gland function, part of the body’s heat-regulation mechanism, (gradually/rapidly) matures.
gradually
By the end of the preschool years, urine excretion ranges from 650 to ___ mL (19-30 ounces).
1000
Under (stressful/normal) homeostatic conditions, the preschooler’s renal system conserves water and concentrates urine on a level that approximates adult abilities.
normal
Intolerance to milk products manifested by diarrhea, often appearing during the preschool years.
Lactose Intolerance
Lung capacity continues to increase, with a gradual (decrease/increase) in respiratory rate.
decrease
A gradual increase in the size and shape of the ears coincides with decreases in the incidence of ___ media (middle ear infection).
otitis
___ and adenoids are large compared with their throat, which may contribute to noisy breathing and upper respiratory tract infections in preschoolers.
Tonsils
Heart rate for preschoolers ranges from ___ to 70 beats per minute, with a mean blood pressure of ___/60 mm Hg
40
100
Initial encounters with such group activities usually result in (decreases/increases) in illness.
increases
Permanent teeth tend to erupt approximately 6 months (earlier/later) in girls than in boys.
earlier
Risk of ___ exists in children younger than 8 years and is influenced by both the dose and the frequency of exposure to fluoride during tooth development.
fluorosis
Caused by taking in too much fluoride over a long period when the teeth are forming under the gums.
Flurosis
After the ___ birthday, a pea-sized amount of fluoride toothpaste may be used.
3rd
Children should have regular dental visits every ___ months.
6
Fluoride varnish is recommended in the primary care setting every ___ to 6 months, starting at tooth emergence.
3
Over-the-counter fluoride rinse is not recommended for children younger than ___ years because of the risk of their swallowing higher-than-recommended levels of fluoride.
6
Refers to the genetically assigned sex of male or female based on chromosomes, XX for females and XY for males.
Biological Sex
Boys tend to experience (less/more) childhood illnesses than do girls from 3 to 6 years of age.
more
Preschoolers are (less/more) aware of their gender than are toddlers.
more
Personal sense of self as male or female which may not be related to their sex assigned at birth.
Gender Identity
Those with a gender expression or identity which differs from their biological sex.
Gender Independent
Related economic and cultural issues.
Ethnicity
Genetic problems most likely to appear during the preschool years are cystic fibrosis, Duchenne muscular dystrophy, fragile X syndrome, Williams syndrome, and ___, which is generally considered a genetic disorder with a high degree (90%) of heritability.
autism
These disorders, characterized by aberrant social interaction, communication, and stereotyped patterns of behaviour, affect 0.5% to 1.0% of the population and are often diagnosed or suspected in the preschool years, when social interaction plays a larger role in development.
Autism
By age 4 or 5 years, children have amassed their beliefs about health from the ___.
family
Pain or illness may be viewed as a ___.
punishment
The preschooler’s declaration, “if you don’t put your seat belt on you will get in an accident,” is a statement that reflects the idea of expected immediate and absolute cause and ___.
effect
Match the appropriate age with the corresponding Developmental and Behavioural Milestones for Preschool Children.
Although preschoolers are not completely responsible for their own health management, they certainly contribute by brushing their ___, taking medication, wearing appropriate clothing for inclement weather, and performing other actions.
teeth
Children should eat a variety of foods, with at least ___ servings of fruits and vegetables per day.
5
Children aged 3 to 5 years old should receive 1100 to ___ calories per day.
1650
Preschool children need to eat (small/large) amounts of food (less/more) often throughout the day.
small
more
Fat requirements in preschool children are (lower/higher) than those for older children.
higher
Fat consumption should consist primarily of ___ fat.
unsaturated
For bone growth, children aged ___ to 8 years require a calcium intake of approximately 700 to 1000 mg.
1
To prevent iron-deficiency anemia, preschool children should consume 7-___ mg of iron a day.
10
Deficiencies in ___ can cause behavioural and intellectual deficiencies.
iron
Decay and crumbling of a tooth or bone.
Caries
Salt and ___ intake should be moderate.
sugar
Older preschoolers frequently (refuse/are keen) to try new foods.
refuse
Selecting ___ foods that facilitate independence helps the preschooler learn to eat without assistance.
finger
Increased consumption of ___ and processed foods along with diminished physical activity has contributed to a significant increase in the frequency of obesity and type 2 diabetes in children and adolescents.
fats
For example, some families may institute a “take a little taste before you ___” standard for foods at the preschool age.
refuse
Preschoolers (struggle/thrive) with the intricacies of using utensils.
struggle
In the later years of the preschool period, children attain skill with (spoons/forks), demonstrate fair proficiency with (spoons/forks), and manage knives for spreading soft foods on bread or crackers.
spoons
forks
The prevalence of food allergy in children in Canada continues to (decrease/increase), affecting up to 7% of children.
increase
Most allergies develop before the age of ___ years.
2
The foods most likely to cause allergic reactions in the preschool age group include milk, ___, and peanuts.
eggs
Older preschool children are capable of and responsible for (dependent/independent) toileting.
independent
Primary activity for preschoolers as well as for toddlers.
Play
Most ___-year-old children separate easily from their parents, play simple interactive games, dress themselves, copy a number of basic geometrical figures well, and draw recognizable people.
4
Offers a vehicle that allows them to explore while experimenting with who they are, who they might become, and how they relate to others socially.
Play
Often reveals the child’s reality and complex perception of the world.
Play
Young children (seldom/often) assume the role of a younger child or infant while playing.
seldom
Through ___, preschoolers learn to exert control over their own behaviour.
play
Children who express their anger in a play situation aggressively by vocalizing their distress, scolding the offending party, or using withdrawal of attention are (less/more) likely to respond with aggression or tantrum behaviour when facing frustration or anger in real-life situations.
more
Preschool children engage in more (independent/interactive) play than at any other age.
interactive
Two or more children may become involved in an imaginary plot, especially when toys and equipment support a particular scenario, such as toy kitchen equipment.
Dramatic Play
The goal of ___ or pretend play is to derive meaning from their play experience using their knowledge and skills acquired.
symbolic
Time orientation remains (incompletely/completely) developed in preschoolers.
incompletely
Preschoolers (do not have/have) an idea about past and future.
have
This play increases from the toddler to the preschool period, and then declines by approximately 10% for each advancing year of age.
Active
Nurses should encourage parents to engage the preschool child in active, ___, and rough-and-tumble play.
locomotor
Preschoolers should accumulate at least ___ minutes of physical activity (including at least ___ minutes of moderate-to-vigorous physical activity).
180
60
Preschoolers should obtain between ___ and 13 hours of sleep (including naps).
10
Preschoolers should engage in no more than ___ hour of screen time.
1
Children do not usually need formal ___-strengthening programs, such as lifting weights.
muscle
Preschoolers should sleep from 10 to 13 hours a day including naps, with (inconsistent/consistent) bedtimes and wake-up times.
consistent
For many older preschoolers, a nap is (not/still) necessary.
not
Provides a welcome respite for the parent, along with a chance for the active preschooler to relax before afternoon activities.
Quiet-Time
Night-time fears, nightmares, sleepwalking, and sleep terrors are at their (minimum/peak) during the preschool stage of development.
peak
These children prolong bedtime routines (less/more) often than the toddler.
more
The bedtime ritual generally lasts ___ minutes or longer.
30
Consistency with the routine (hinders/helps) to ameliorate bedtime battles.
helps
Vigorous resistance to bedtime challenges parents (less/more) during the preschool period than at any other developmental stage.
more
Occurs when this resistance is associated with a negative association with sleep.
Behavioural Insomnia
When a demanding bedtime behaviour extends beyond ___ year or an episode persists longer than 1 hour, the nurse explores the family situation.
1
Night ___ and nightmares characterize the night-time wakening problems that generally occur during the preschool years.
terrors
___ in children may be somewhat modifiable and parents may consider strategies to influence their preschooler’s behaviour that focus on their ___.
Temperament
temperament
Manifest themselves as frightening dreams that cause the child to sit up in bed, scream, stare at an imaginary object, breathe heavily, perspire, and appear in obvious distress.
Night Terrors
These night terrors can start at approximately age ___ years but are more common during the preschool years.
2
Children during night terrors, not fully awake, may be inconsolable for ___ minutes or more, before they relax and return to a deep sleep.
10
In most cases the child does not recall the night terror and in the morning does not ___ the incident.
remember
Rarely occur in older children and adults, and only approximately 6% of preschool children have them.
Night Terrors
Anxiety Dreams
Nightmares
A more common cause of night wakening.
Nightmares
After age ___ years, nightmares occur frequently.
3
During these, children can waken fully and feel fearful and helpless.
Nightmares
Given by a parent who sits with the child, listens to descriptions and fears about the dream, and reminds the child that dreaming is natural and sleep will soon return.
Consolation
Helping children appreciate the meaning of the words ___ and real facilitates growth during this phase of childhood.
pretend
A consistent sleep environment with the same bed in a room that is cool, quiet, and dark (without/with) a television promotes sleep.
without
Parents have clear ___ about children sleeping with them if the children will not stay in their own beds.
rules
Internalization of family ___ has been associated with social competency in this age group.
rules
The older toddler enters the first substage of the ___ stage described by Piaget.
preoperational